MEDICARE: CHARLOTTE ANNE BATEY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	01054183A	IN
2	208800000X	Urology Physician	37915	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4068780	OTHER	TN	BLUE CROSS BLUE SHIELD TN

General Provider Information

NPI Number	:	1265433916
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLOTTE ANNE BATEY M.D.

Provider Business Mailing Address
First Line	:	911 HILLCREST AVE
Second Line	:
City	:	COLUMBIA
State	:	TN
Zip	:	38401-2509
Country	:	US
Telephone Number	:	931-388-6721
Fax Number	:

Provider Business Practice Location Address
First Line	:	1407 HATCHER LN
Second Line	:
City	:	COLUMBIA
State	:	TN
Zip	:	38401-3535
Country	:	US
Telephone Number	:	931-381-2110
Fax Number	:	931-381-5178

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2005
Last Update Date	:	08/01/2022

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